Individual provider Active NPI

Ciara Mashee Chavis, MSW, LCSWA

  • Clinical Social Worker
  • Apex, NC
National Provider Identifier
1962219741
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P02031 Issued in NC
Practice address
911 Scissortail LN
Apex, NC 27523-3752
Phone
(252) 915-6783
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P02031 NC Primary

Addresses

Primary practice location

911 Scissortail LN
Apex, NC 27523-3752

Mailing address

911 Scissortail LN
Apex, NC 27523-3752
Phone (252) 915-6783

Other practice location 1

231 Westlake Rd Ste 202
Fayetteville, NC 28314-4862
Phone (910) 644-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P02031NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1962219741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SCISSORTAIL LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275233752",
            "telephone_number": "252-915-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SCISSORTAIL LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275233752",
            "telephone_number": "252-915-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Westlake Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283144862",
            "country_code": "US",
            "telephone_number": "910-644-0307",
            "fax_number": "910-222-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "CIARA",
        "middle_name": "MASHEE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P02031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.